2026 NPPES data Pediatrics Physician NPI 1477540748 M.D.
Verify on CMS →

DAVID HESS, M.D.

Pediatrics Physician in GLEN DALE, West Virginia. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
1K
Medicare Part D claims · 882 beneficiaries · Pediatrics Physician avg: 762
Generic prescribing
2%
generic claims · 98% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
94.1061/100
▲ 11 pts above national avg 83.1 · [object Object]

What the federal data shows

DAVID HESS, M.D. reported a CMS MIPS final score of 94.1061/100 — above the 83.1 national average — and filed 1,009 Medicare Part D claims in 2023.

94.1061/100
MIPS score · +11 vs avg
1K
Part D claims, 2023
2%
generic prescribing
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

DAVID HESS, M.D.'s MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

94 Top 25% higher than 75% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Board certification likely (heuristic — not verified)

DAVID HESS, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about DAVID HESS, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 10/03/2005

NPI 1477540748

Primary specialty

Pediatrics Physician

High-volume

80,574 US NPIs in this specialty

Medicare Part D claims

1,009 32% vs specialty avg

2023 prescription claims

Specialty avg: 762

MIPS final score

94.1061/100 11.006100000000004% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in West Virginia

How Pediatrics Physician compares to other specialties among West Virginia providers

West Virginia providers

Pediatrics Physician share within West Virginia

1. Pediatrics Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pediatrics Physician share within West Virginia

Medicare quality performance — MIPS

DAVID HESS, M.D.'s 2023 MIPS final score plotted against the Pediatrics Physician national average

High performer (top quartile)
MIPS Final Score
94.1061/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Pediatrics Physician) — 94.1061/100 vs national avg 83.1

0%100%National avg83%94.1%
MIPS final score (Pediatrics Physician) — 94.1061/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

DAVID HESS, M.D. is a Pediatrics Physician provider practicing in GLEN DALE, West Virginia, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1477540748. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

DAVID HESS, M.D. appears in the CMS NPPES registry as a Pediatrics Physician provider holding M.D. credentials at 407 WHEELING AVE, GLEN DALE, WV, 26038, with a listed phone of (304) 845-1500. NPI 1477540748 was issued on 10/03/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what HESS most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 1,009 prescription claims written by this provider, covering 882 Medicare beneficiaries and totaling roughly $294K in drug spend, split 98% brand-name and 2% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 94.1061/100 for the 2023 performance year (Quality 78.4655), compared with the national average of 83.1.

Pediatrics Physician is a high-volume specialty nationwide, with 80,574 enrolled providers across 56 states and an average of 762 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

407 WHEELING AVE
GLEN DALE, WV 26038

Provider Details

NPI 1477540748
Specialty Pediatrics Physician
Credentials M.D.
Gender Male
NPI Issued 10/03/2005

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

94.1061
Final Score
Avg: 83.1
78.4655
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Brand vs generic prescribing mix · Brand-heavy

DAVID HESS, M.D. — brand share 98.0%
Specialty average (est.)

98% brand-name claims vs 2% generic, on 1,009 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

1,009
Total Claims
$294K
Total Drug Cost
882
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,025
Total Day Supply
2,141
Brand vs Generic
98% brand / 2% generic
Brand Drug Cost
$294K

Patient Demographics

Average Patient Age
76.9 years
Avg HCC Risk Score
1.20
Gender Split
63% female / 37% male
Age Distribution
<65: 42, 65-74: 353, 75-84: 295, 85+: 192

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Shingrix
Varicella-Zoster Ge/As01b/Pf
167
Donepezil Hcl
15
Arexvy
Rsvpref3 Antigen/As01e/Pf
12
Abrysvo
"Rsv Vacc
N/A
Boostrix Tdap
"Diphth
N/A

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Pediatrics Physician Overview

How DAVID HESS, M.D. fits within the Pediatrics Physician landscape nationally.

80,574
Pediatrics Physician Providers in US
56
States with Pediatrics Physician
762
Avg Claims per Provider

DAVID HESS, M.D.'s 1,009 claims are above the specialty average of 762.

Nearby Pediatrics Physician Providers in West Virginia

Other clinicians with the same primary specialty enrolled in West Virginia, drawn from the same CMS NPPES roster as HESS.

Compare Pediatrics Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is DAVID HESS, M.D.'s specialty?
DAVID HESS, M.D. specializes in Pediatrics Physician and practices in GLEN DALE, West Virginia. Credentials: M.D..
How much does DAVID HESS, M.D. prescribe under Medicare Part D?
In 2023, DAVID HESS, M.D. wrote 1,009 Medicare Part D claims totaling $294K in drug costs for 882 beneficiaries.
What is DAVID HESS, M.D.'s Medicare quality score?
DAVID HESS, M.D. has a CMS MIPS Final Score of 94.1061/100 (Quality: 78.4655). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is DAVID HESS, M.D. located?
DAVID HESS, M.D. is located at 407 WHEELING AVE, GLEN DALE, WV, 26038. Phone: (304) 845-1500.
What is DAVID HESS, M.D.'s NPI number?
DAVID HESS, M.D.'s National Provider Identifier (NPI) is 1477540748, issued on 10/03/2005.
Does DAVID HESS, M.D. prescribe more brand-name or generic drugs?
DAVID HESS, M.D.'s prescribing is 98% brand-name and 2% generic drugs by claim count, with $294K in brand drug costs.
How many Pediatrics Physician providers are there in the US?
There are 80,574 Pediatrics Physician providers across 56 states in the US. The average Pediatrics Physician provider writes 762 Medicare Part D claims per year.
What drugs does DAVID HESS, M.D. prescribe most often?
Based on 2023 Medicare Part D data, DAVID HESS, M.D.'s most frequently prescribed drugs include Shingrix, Donepezil Hcl, Arexvy. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does DAVID HESS, M.D. accept Medicare?
DAVID HESS, M.D. appears in CMS Medicare data with 1,009 Part D claims and 882 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify DAVID HESS, M.D.'s credentials?
DAVID HESS, M.D.'s NPI is 1477540748 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology